did (s)he go so far as implanting a fake adam's apple? not knowing what she looked like prior, some surgery had to have occurred to augment the hormones...

what is typical in female to male besides the obvious? hip bone shaving/grinding? making the hands or wrists bigger? shoulder broadening? how would that even occur? cracking and resetting shoulder blades? liposuction of the fleshier bits? jaw reenforcing? must watch more nip/tuck.